KRISTO BOLANO (OD) – Optometrist, NPI 1891280020

KRISTO BOLANO (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5399 (MA). The NPI Number for KRISTO BOLANO (OD) is 1891280020

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTO BOLANO (OD)
NPI
1891280020
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
29 June 2018
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6179646681
Graduation Year
2018 (8 years ago)
PAC ID
2860741378
Group Practice PAC ID
7719870807
Professional Enrollment ID
I20210319001883
Address ID
MA017025555FR100XXBLVD304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

626 OPTOMETRY in MD

Provider Addresses for KRISTO BOLANO (OD)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • 4465 WILLARD AVE

    CHEVY CHASE, MD 20815

    Phone: (301) 951-3373

    Fax: (301) 951-3371

    Type: Location

  • 1 BOYLSTON ST STE 3E

    CHESTNUT HILL, MA 024671719

    Phone: (617) 232-3303

    Fax: (617) 232-3310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180816001781IOptometryDCTBD
I20210319001883IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes490351$0
92014Established patient complete exam of visual system370366$0
92004New patient complete exam of visual system280280$0
92250Photography of the retina186184$0
92012Established patient problem focused exam of visual system6361$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719870807View full group profile
NameSpecialtyState
-IN
O P T O M E T R YPA
O P T O M E T R YIN
O P T O M E T R YNJ
O P T O M E T R YVA
O P T O M E T R YNC
O P T O M E T R YRI
O P T O M E T R YKY
O P T O M E T R YPA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What number should I use to identify KRISTO BOLANO (OD) for billing?
Administrative and clinical systems typically use NPI 1891280020 for KRISTO BOLANO (OD).
Is KRISTO BOLANO (OD) currently accepting referrals based on NPI status?
Registry metadata lists KRISTO BOLANO (OD) as active.
What type of care does KRISTO BOLANO (OD) provide?
KRISTO BOLANO (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is KRISTO BOLANO (OD) tied to Vienna, Virginia?
If you are local to Vienna, Virginia, KRISTO BOLANO (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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